Darby Family Practice, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35077094 Issued in OH

Legal business name

DARBY FAMILY PRACTICE, INC

Practice address

487 W Main St
West Jefferson, OH 43162-1178

Phone

(614) 879-6622

Fax

(614) 879-4043

NPI assigned

Mar 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kathleen Sue Busch, M.D.NPI 1629167507

Title

President

Phone

(614) 879-6622

Specialties & licenses 1

Addresses

Other identifiers 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Sue Busch, M.D.

  • Family Medicine Physician
  • West Jefferson, OH
  • NPI 1629167507

  Family Medicine

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1669644159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 W MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621178",
            "telephone_number": "614-879-6622",
            "fax_number": "614-879-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 W MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621178",
            "telephone_number": "614-879-6622",
            "fax_number": "614-879-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARBY FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-879-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35077094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2271901",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy M Branham, LPN
• Blaine Paul Brockman
• Kevin Buell, LPTA
• Kathleen Sue Busch, M.D.
• Kellie J Butler, APRN
• Theresa Marie Daugherty
• Amber Duch
• Kristyn Nicole Elliott, OTD,OTR/L
• Enhancing Minds Mental Health Solutions LLC
• Enhancing Minds Mental Health Solutions LLC

• All providers in West Jefferson, OH
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.